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General NPI Number Information
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NPI Number | 1356533632
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Entity Type | Organization
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Legal Business Name | CHEMARKE, INC.
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 08/10/2007
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Provider Practice Location Address
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Address Line | 1159 W. EL SEGUNDO BLVD.
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City | GARDENA
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State | CA
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Zip | 92407-1603
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Country | US
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Telephone | 323-777-9339
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Fax |
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Provider Business Mailing Address
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Address Line | 1159 W EL SEGUNDO BLVD
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City | GARDENA
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State | CA
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Zip | 90247-1603
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Country | US
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Telephone | 323-777-9339
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. SALLY OKELE
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Credential | R.N.
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Telephone | 323-777-9339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | NONE YET
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License Number State |
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